COUNTY OF SAN BERNARDINO


Address: 2940 Inland Empire Blvd, Ontario, CA 91764-4898
Phone: 9094581350

COUNTY OF SAN BERNARDINO (NPI# 1720296189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720296189
Entity Type Organization
Organization Name COUNTY OF SAN BERNARDINO
Other Organization Name MARIPOSA COMMUNITY COUNSELING
Practice Address 2940 Inland Empire Blvd
Ontario
CA 91764-4898
Mailing Address 303 E Vanderbilt Way
San Bernardino
CA 92415-0026
Practice Telephone 9094581350
Mailing Telephone 9093880801
Mailing Fax Number 9098900435
Enumeration Date 2007-05-18
Last Update Date 2014-11-06
Authorized Official Name MS. CASONYA THOMAS (DIRECTOR)
Authorized Official Telephone 9093880801
Is Organization Subpart Y
Parent Organization Name DEPARTMENT OF BEHAVIORAL HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
ZZZ74743Z CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA ADP MEDICAL PROVIDER NUMB 360003699 01

Other Provider/Organization Names

Other Name Type Code
Mariposa Community Counseling Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750931572 County of San Bernardino Community/Behavioral Health 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 2019-09-13
1063061117 County of San Bernardino Community/Behavioral Health 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 2019-09-10
1306495627 County of San Bernardino Community/Behavioral Health 63665 29 Palms Hwy, Joshua Tree, CA 92252-6613 2019-09-09
1891344115 County of San Bernardino Community/Behavioral Health 14931 Dale Evans Pkwy, Apple Valley, CA 92307-3061 2019-09-09
1568947323 County of San Bernardino Community/Behavioral Health 15345 Bonanza Rd, Victorville, CA 92392-2499 2018-09-27
1619452547 County of San Bernardino Community/Behavioral Health 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 2018-09-26
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
1912258633 County of San Bernardino Clinic/Center 17830 Arrow Blvd., Fontana, CA 92335 2012-09-20
1285870469 County of San Bernardino Public Health or Welfare 11336 Bartlett Ave #11, Adelanto, CA 92301 2008-12-18
1871764175 County of San Bernardino Early Intervention Provider Agency North & South Bound I-15, @ Zzz, Baker, CA 92309 2008-03-14

Office Location

Street Address 2940 INLAND EMPIRE BLVD
City ONTARIO
State CA
Zip Code 91764-4898

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679619035 Lovelyn Cruz Santos Case Manager/Care Coordinator 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2007-01-30
1457974479 Amber Lynn Scott Counselor 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2020-05-26
1003447442 Noah Nguyen Peer Specialist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2020-02-03
1134764285 Vivien Naomi Limon Peer Specialist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-11-13
1194360248 Gerald Lee Wilson Peer Specialist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-11-13
1275176364 Nancy Romero Marriage & Family Therapist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-10-22
1548811615 Kristen Mungcal Case Manager/Care Coordinator 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-09-20
1922655752 Matthew Eric Shamlin Marriage & Family Therapist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-08-26
1619536547 Charity Linnet Thomann Student in an Organized Health Care Education/Training Program 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-06-13
1710441720 Adebukola Elizabeth Olusanya Registered Nurse 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760096952 Jacqueline Iriart Behavior Technician 2930 Inland Empire Blvd St 100, Ontario, CA 91764 2020-09-03
1306459573 Loremari Samantha Mohr Assistant Behavior Analyst 4688 Ontario Mills Parkwar, Ontario, CA 91764 2020-08-28
1023629649 Yazmin Ramos Behavior Technician 4688 Ontario Mills Pwky, Ontario, CA 91764 2020-08-17
1184234999 Adoniram Morales Behavior Technician 4688 Ontatio Mills Parkway, Ontario, CA 91764 2020-08-06
1396395489 Enhanced Sleep Solutions Clinic/Center 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 2019-09-19
1013561588 Jaquelyn Herrera Behavior Technician 2151 E Convention Center Way Ste #103, Ontario, CA 91764 2019-08-01
1285287995 Ha Tran Tsai Dental Corporation Dentist 1361 East 4th Street, Ontario, CA 91764 2019-07-22
1346702974 Rocio Sandoval Behavior Technician 800 Ferrari Ln Ste 100, Ontario, CA 91764 2019-04-02
1275011678 Jquana Lucille Dowdy Behavior Technician 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 2018-07-30
1063917458 Maria Veronica Heard Specialist/Technologist 740 E Princeton St, Ontario, CA 91764 2018-03-27
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1427109222 Crc Health Oregon Clinic/Center 885 Sw 30th St, Ontario, OR 97914-4626 2007-01-16
1538658661 Clare Matrix Clinic/Center 812 N Euclid Ave, Ontario, CA 91762-2714 2018-05-03

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1609476845 Vanity Wellness Center Incorporated Clinic/Center 19935 Ventura Blvd Fl 1, Woodland Hills, CA 91364-9605 2020-10-27
1184230328 Recovery & Resilience Centers Clinic/Center 1665 Creekside Dr Ste 100, Folsom, CA 95630-3538 2020-09-22
1518573526 A Ka Center, LLC Clinic/Center 4715 Divine Way, La Mesa, CA 91941-6832 2020-09-16
1821602186 New Bridge Foundation, Inc. Clinic/Center 1777 Leroy Avenue, Berkeley, CA 94709-1156 2020-09-03
1942814793 Ola Wellness Retreat, LLC Clinic/Center 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 2020-08-31
1336752963 Ola Wellness Retreat, LLC Clinic/Center 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 2020-08-24
1003427337 Restorative Partners, Inc. Clinic/Center 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 2020-08-11
1255941597 Pathways Recovery Clinic/Center 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 2020-08-02
1104435734 New Life Health Authority / Dba New Life LLC Clinic/Center 280 E Standley St, Ukiah, CA 95482-4414 2020-07-29
1043829971 House of Hope Foundation Inc Clinic/Center 227 W 9th St, San Pedro, CA 90731-3711 2020-07-27
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Competitor

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City ONTARIO
Zip Code 91764

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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